• 皮瓣移植修复膝关节周围深度创面疗效观察
  • Observation on the Clinical Efficacy of Skin Flap Transplantation in Repairing Deep Wounds around Knee Joint
  • 张晓启,王东亮,白 旸,侯雨杉,唐亦复.皮瓣移植修复膝关节周围深度创面疗效观察[J].中国烧伤创疡杂志,2020,(6):395~398.
    DOI:
    中文关键词:  膝关节  创面  皮瓣移植  功能锻炼
    英文关键词:Knee joint  Wound  Skin flap transplantation  Functional exercise  Clinical efficacy
    基金项目:
    作者单位
    张晓启 中国人民武装警察部队辽宁省总队医院 
    王东亮  
    白 旸  
    侯雨杉  
    唐亦复  
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    中文摘要:
          【摘要】目的 分析探讨皮瓣移植修复膝关节周围深度创面的临床疗效。方法 给予2015年1月至2018年12月中国人民武装警察部队辽宁省总队医院收治的31例膝关节周围深度创面患者皮瓣移植修复局部创面,并配合早期功能锻炼,观察治疗效果。结果 除1例隐动脉皮瓣修复者术后皮瓣远端坏死行清创及自体中厚皮片移植修复后创面愈合外,其余30例患者术后皮瓣均成活良好,创面一期愈合;随访6个月~2年,所有患者膝关节外形恢复良好,功能无明显异常。结论 皮瓣移植修复膝关节周围深度创面,并配合早期膝关节功能锻炼,可促使膝关节外形及功能恢复良好,临床应用价值较高。
    英文摘要:
          【Abstract】Objective To analyze the clinical efficacy of skin flap transplantation in repairing deep wounds around knee joint. Methods Thirty one patients with deep wounds around knee joints, admitted to Liaoning General Hospital of Chinese People's Armed Police Force from January 2015 to December 2018, received flap transplantation to repair their local wounds and then followed doctors’ instruction to do early functional exercises. The clinical effect was observed. Results For one patient who underwent saphenous artery flap repair, his skin flaps healed after debridement of distal skin flap necrosis and autologous intermediate thickness skin graft repair. The skin flaps of the remaining 30 patients survived well and achieved healing by first intension. During the follow-up of six months to two years, the knee joints of all the patients recovered their original appearances and no obvious dysfunction was observed. Conclusion Combined with early knee joint functional exercises, skin flap transplantation in repairing deep wounds around knee joint can promote the recovery of appearance and function of knee joints, demonstrating a high value of clinical application.